Marwah Balasim Al Jebahje, DMD
Dentist, General Practice in Dorchester, MA. Individual provider (NPI-1).
NPI number1881394591
StatusActive
Last updated in NPPESDec 30, 2024
Details
- NPI
- 1881394591
- Entity type
- Individual (NPI-1)
- Name
- Marwah Balasim Al Jebahje
- Credential
- DMD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 9, 2023
- Certification date
- Dec 30, 2024
- Last updated
- Dec 30, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 2901602446 | MI | Yes |
| 1223G0001X | Dentist, General Practice | DN1859977 | MA |
Practice location
375 Mount Vernon St Apt 714Dorchester, MA 02125-3162
Phone 623-200-6867
Mailing address
375 Mount Vernon St Apt 714Dorchester, MA 02125-3162
Phone 623-200-6867
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